<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">统计日期</label>
            <div class="layui-input-block">
                <input type="text" name="statistics_date" class="layui-input" lay-verify="required" placeholder="请输入统计日期" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">上班天数</label>
            <div class="layui-input-block">
                <input type="text" name="work_days" class="layui-input" lay-verify="required" placeholder="请输入上班天数" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">休息天数</label>
            <div class="layui-input-block">
                <input type="text" name="rest_days" class="layui-input" lay-verify="required" placeholder="请输入休息天数" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">请假天数</label>
            <div class="layui-input-block">
                <input type="text" name="leave_days" class="layui-input" lay-verify="required" placeholder="请输入请假天数" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">总计工时</label>
            <div class="layui-input-block">
                <input type="text" name="sum_duration" class="layui-input" lay-verify="required" placeholder="请输入总计工时" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">驾驶天数</label>
            <div class="layui-input-block">
                <input type="text" name="drive_days" class="layui-input" lay-verify="required" placeholder="请输入驾驶天数" value="">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>
    </form>
</div>